EP2865417A1 - Appareil de radiothérapie - Google Patents

Appareil de radiothérapie Download PDF

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Publication number
EP2865417A1
EP2865417A1 EP14183211.3A EP14183211A EP2865417A1 EP 2865417 A1 EP2865417 A1 EP 2865417A1 EP 14183211 A EP14183211 A EP 14183211A EP 2865417 A1 EP2865417 A1 EP 2865417A1
Authority
EP
European Patent Office
Prior art keywords
drum
wheels
tilt
radiotherapy apparatus
gantry
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP14183211.3A
Other languages
German (de)
English (en)
Other versions
EP2865417B1 (fr
Inventor
Per Harald Bergfjord
Francesco Gnoata
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Elekta AB
Original Assignee
Elekta AB
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Elekta AB filed Critical Elekta AB
Publication of EP2865417A1 publication Critical patent/EP2865417A1/fr
Application granted granted Critical
Publication of EP2865417B1 publication Critical patent/EP2865417B1/fr
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1077Beam delivery systems
    • A61N5/1081Rotating beam systems with a specific mechanical construction, e.g. gantries
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/01Devices for producing movement of radiation source during therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00Radiation therapy
    • A61N5/10X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048Monitoring, verifying, controlling systems and methods
    • A61N5/1049Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam
    • A61N2005/1057Monitoring, verifying, controlling systems and methods for verifying the position of the patient with respect to the radiation beam monitoring flexing of the patient support or the radiation treatment apparatus

Definitions

  • the present invention relates to radiotherapy apparatus.
  • radiotherapy apparatus employs a radiation source mounted on a gantry arm that is rotatable around a patient support on which a patient can be placed for treatment.
  • the usual geometry for this is to provide a circular-section rotatable drum oriented in a vertical plane, i.e. with its axis of symmetry and rotation in a horizontal plane, and mount the gantry arm onto the drum, offset from the axis.
  • the source is then mounted at the end of the gantry arm, oriented so that the beam that it produces is directed towards the axis.
  • the point at which the centre of the beam meets the axis Is known as the "isocentre".
  • the beam arrives at the isocentre from all angular directions within a vertical plane. This is an important aspect of the radiotherapy treatment, as it allows a sufficient dose to be delivered to a target volume while minimising the dose delivered to surrounding healthy tissue.
  • the rotating drum is supported on four main wheels beneath the drum, arranged in two angularly-offset pairs, one pair at a front edge of the drum and one pair at a rear edge.
  • the drum and the gantry arm are usually substantial items in order to support the weight of the radiation source mounted in the arm and at the end thereof. Despite this, there will be some small degree of flexure in the gantry arm, resulting in a "droop" effect, i.e. an unintended movement of the isocentre.
  • This tilt could be achieved in one of a number of ways.
  • a mechanical actuator within the drum or beneath the wheels on which it rotates could be driven in response to a rotation sensor in order to tilt the gantry and/or the drum.
  • the drum itself could be made non-circular in at least some of the areas that are supported by the wheels, so that the rotation is not completely smooth but causes the drum to tilt as it rotates.
  • the wheels can be arranged to lift and/or lower as the drum rotates.
  • a mechanism within the wheels could use an eccentric mechanism in order to adjust the position of the wheels as they rotate.
  • the wheels will have a much smaller radius than that of the drum, so to synchronise the movement of the wheels with the rotation of the drum, a gearing arrangement such as an epicyclic gear can be employed.
  • the epicyclic gear can include the eccentric mounting.
  • An epicyclic gear arrangement essentially comprises a sun wheel, a planetary gear, and an annulus, and in this implementation the sun wheel can be fixedly attached to a bearing surface of the wheel, the planetary gear mounted eccentrically on a supporting base, and the annulus held in a non-rotating relationship with the supporting base.
  • a further possibility is to make non-circular at least one of the circumferential bearing surface or surfaces by which the rotating drum is supported on wheels.
  • a radiotherapy apparatus comprises a radiation source 10 which emits a beam of radiation along a beam axis 12.
  • the source 10 is mounted on a gantry arm 14 which is itself supported by a rotatable drum 16.
  • the drum is arranged vertically, i.e. with its axis 18 of rotational symmetry substantially horizontal, and is able to rotate about that axis 18 carrying with it the gantry arm 14 and the source 10.
  • An electrical drive motor is provided (not shown) in order to drive rotation of the drum 16 when required, and in the direction required.
  • the arm 14 is mounted to the drum 16 so as to support the source 10 at a location offset from the rotation axis 18 but pointing towards the rotation axis 18.
  • the location 20 at the meeting point of the beam axis 12 and the rotation axis 18 is referred to as the "isocentre" 20.
  • the source rotates around the isocentre, directing a beam toward that isocentre continuously. This is useful during treatment, as a dose can be applied to a target volume located at the isocentre with only a brief or limited irradiation of the surrounding tissue.
  • the drum 16 Is supported during its rotation by wheels. These are arranged (in this example) as a set of four wheels, two wheels 22 supporting a front edge of the drum 16 and two wheels 24 supporting a rear edge of the drum 16. The wheels in each pair are located either side of the lowest point of the drum 16, thus defining a rectangular pattern and supporting the drum 16.
  • the wheels are mounted on a suitably rigid base 26, usually able to freewheel (although see later for certain embodiments).
  • Figure 2 shows how the position of the gantry 14 and the source 10 can be adjusted by way of an adjustment of the supporting wheels. Both the gantry and the source are of course subject to the influence of gravity, and thus as the source 10 rotates, gravity will cause elastic deformation of the gantry 14 due to the substantial weight of the source 10.
  • Figure 2 shows how a raising and lowering action on the supporting wheels can be used to provide a correction to the isocentre position; in each case in Figures 2(b) and 2(d) the correction operates by moving the apparatus from the position shown in solid lines to the position shown in dotted lines.
  • Figures 2(a) and 2(c) show the source at the 270° and 90° positions respectively. Some deformation of the gantry arm 14 is apparent at these angles, generally having the effect of lowering the beam isocentre towards the ground. The effect of this is not as great as the deformation at the 0° and 180° positions, so at this stage the embodiments focus on ameliorating the latter.
  • the 90° and 270° deformations may benefit from similar treatment in future.
  • Figure 2(b) shows the source in the 0° position, i.e. at its highest point and directed substantially vertically downwards.
  • an elastic deformation of the gantry arm 14 will tend to cause the source 10 to "droop", resulting in the source 10 pointing slightly towards the drum 16 (the droop is exaggerated for clarity).
  • This adjustment of the beam axis 12 tends to draw the isocentre towards the drum 16 slightly. This can be counteracted by slightly raising the front wheels as shown in figure 2(b) (or by lowering the rear wheels), leaning the entire apparatus out away from the drum position shown in the solid line to that shown in the dotted line and moving the isocentre outward.
  • one way of correcting for the droop effect is to adjust the position of the drum 16 via the wheels 22, 24.
  • An upward adjustment of the front wheels 22, or a downward adjustment of the rear wheels 24, will tend to adjust the isocentre position away from the drum 16, and vice versa (i.e. lowering the front wheels or raising the rear wheels adjusts the isocentre position towards the drum).
  • this can be used to fine-tune the isocentre position and counteract the influence of gravity.
  • the heights of the wheels 22, 24 could be adjusted via a cam surface within the wheel mountings, for example, or by any suitable mechanism.
  • Our preferred mechanism is shown in figures 3 and 4 and comprises an epicyclic gear train within the wheel itself.
  • Figure 3 shows the gear train in section, mounted on a rigid stub axle 50.
  • a planetary gear carrier 52 is mounted eccentrically on the stub axle 50 and carries a set of four planetary gears 54, each spaced equally from the eccentric centre 56 of the planetary gear carrier 52.
  • More planetary gears 54 could be provided, such as 5 or 6, to give a smoother action.
  • fewer gears such as 2 or 3 could be provided to reduce the weight and complexity of the device.
  • the choice may also be influenced by the gear ratio, as a smaller planet gear set may allow for and benefit from a larger number of gear wheels.
  • the planetary gears 54 engage with a sun wheel 58 located radially within the planetary gears 54 and journalled to rotate freely around the planetary gear carrier 52 on a set of bearings 60.
  • An annular ring gear 62 is provided around and engaging with the planetary gears 54; this is prevented from rotation by engagement of a pin 64 in a slot 66 formed in the base on which the stub axle 50 is provided.
  • the sun gear 58 includes a flange section with two sections, a first section 68 that extends radially outwardly, spaced axially away from the planetary gears 54, the planetary gear carrier 52, and the annular ring gear 62, and a second section 70 that extends axially away from an outer end of the first section 68 to provide a circumferential cover around the epicyclic gear arrangement.
  • the circumferential outer face of the second section 70 defines the outer bearing face of the wheel.
  • the wheel can be made to complete one complete oscillation with one complete rotation of the drum 16.
  • figures 3 and 4 are not to scale and (for the purposes of clarity) do not illustrate a suitable gear ratio.
  • the rear wheels 24 can be aligned so as to lift the drum slightly and correct the droop of the gantry arm 14.
  • the degree of lift is of course determined by the degree of eccentricity of the planetary gear carrier 52 around the stub axle 50.
  • the rear wheels will have completed half an oscillation (relative to the 0° position) and will be at their lowest point, thus counteracting the opposite droop of the gantry arm 14 at that point.
  • the vertical motion of the wheel is sinusoidal, which matches the movement of the isocentre which is also sinusoidal due to the action of gravity on the cantilevered beam arm as it rotates.
  • each planetary gear 54 being a reversing gear, such as being made of two smaller gears engaging with each other, one of which engages with the sun gear 58 and one engaging with the annular ring gear 62.
  • the annular gear 62 is held in a non-rotating relationship with the base. This can be by way of a pin or blade extending from the annulus into a radially-arranged slot in the base (or vice-versa).
  • the gantry wheel may drift over time relative to the drum, due to the drum skidding over the wheel.
  • an indexing device will be preferred. This could be in the form of a feature on the drum engaging with the wheel at regular intervals, such as a gear or tooth, or by way of a high-friction surface on one or both of the wheel and drum, or the like.
  • Figures 5 and 6 show a third embodiment in schematic form, illustrated from the front of the apparatus and along the axis of rotation of the drum.
  • the drum 100 is supported in the manner shown in figure 1 by a set of four wheels.
  • Two rear wheels (not shown) support a rear rim 102 of the drum 100
  • two front wheels 104, 106 support a front rim 108 of the drum 100.
  • a radiation source 110 is mounted on the drum via a gantry and emits a beam 112 towards the rotation axis of the drum 100.
  • the drum thus carries the two rims via which it is supported, the rear rim 102 and the front rim 108. These will usually be defined by a suitable rigid bearing surface along which the wheels 104, 106 etc roll.
  • the rear rim 102 is (in this embodiment) circular, centred on the rotation axis of the drum 100 and thus rotationally symmetric around that axis.
  • the front rim 108 is slightly non-circular, having a smooth indentation 140 compared to the circular rear rim 102 (shown in dotted lines). Otherwise, the front rim 108 is circular.
  • This indentation 114 is located opposite the radiation source 110, so when the source 110 is at the 0° position ( figure 6 ) the front rim of the drum 100 will be allowed to rest slightly lower than the rear rim 102. This will therefore tilt the drum slightly toward the isocentre in the manner of figure 2(b) , correcting the droop of the gantry arm under gravity. With the source 100 at the 180° position, the front rim 108 (of this embodiment) is being supported at a circular portion thereof.
  • the drum is at its "default" position. That default position (and that of the wheels, gantry and source) can be adjusted so that the appropriate gravity compensation is made at the 180° position, and then reversed by the indentation 114 at the 0° position. Alternatively, the absence of compensation at the 180° position can simply be accepted.
  • the front rim 108 can be given a protrusion opposite the indentation 114, to tilt the drum 100 in the opposite direction at the 180° position. Indeed, the indentation 114 on the front rim 108 could be replaced with a protrusion on the rear rim 102.
  • the rear rim 102 can be given an indentation opposite that of the front rim 108.
  • the various alternatives could be combined, with some degree of indentation or protrusion on both rims so as to secure the desired tilt at all points of the rotation of the drum 100.
  • Figure 7 schematically illustrates a version of the rear rim 102 with such a protrusion 116.
  • Figure 8 schematically illustrates a fifth embodiment which offers the potential for greater control of the drum orientation at a wider range of angles. It entails splitting the front (and/or rear) rim Into two sub-rims 118, 120 and offsetting the two wheels 104, 106 that support the rim so that the wheel 104 on one side supports one sub-rim 118 and the wheel 106 on the other side supports the sub-rim 120.
  • the two sub-rims are adjacent, although they may have an upstanding ridge between them in order to prevent a wheel slipping onto the wrong rim.
  • the two sub-rims 118, 120 each have a protrusion 122, 124 respectively, spaced 90° apart.
  • both protrusions 122, 124 meet the wheels and a maximum lift is obtained.
  • This design flexibility could be used in order to tailor the precise orientation of the drum, offering many degrees of freedom given the four wheels supporting the drum and the ability to engineer protrusions and Indentations around the circumference of (potentially) four corresponding sub-rims. This could be used to compensate for gravity-induced droop at all rotational positions.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Radiation-Therapy Devices (AREA)
EP14183211.3A 2013-10-28 2014-09-02 Appareil de radiothérapie Active EP2865417B1 (fr)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
GB1318983.2A GB2519592B (en) 2013-10-28 2013-10-28 Radiotherapy apparatus with a tiltable gantry arm

Publications (2)

Publication Number Publication Date
EP2865417A1 true EP2865417A1 (fr) 2015-04-29
EP2865417B1 EP2865417B1 (fr) 2021-06-23

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Family Applications (1)

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EP14183211.3A Active EP2865417B1 (fr) 2013-10-28 2014-09-02 Appareil de radiothérapie

Country Status (4)

Country Link
US (3) US9522286B2 (fr)
EP (1) EP2865417B1 (fr)
CN (1) CN104548365B (fr)
GB (1) GB2519592B (fr)

Cited By (10)

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WO2018023049A1 (fr) * 2016-07-28 2018-02-01 Sun Nuclear Corporation Détermination de la direction de l'angle d'un faisceau
US10099067B2 (en) 2014-12-19 2018-10-16 Sun Nuclear Corporation Radiation therapy dose calculation
US10413754B2 (en) 2012-05-29 2019-09-17 Sun Nuclear Corporation Method and system for calorimetry probe
US10617891B2 (en) 2015-04-23 2020-04-14 Sun Nuclear Corporation Radiation detector calibration
US10918888B2 (en) 2017-02-28 2021-02-16 Sun Nuclear Corporation Radiation therapy treatment verification with electronic portal imaging device transit images
US11278744B2 (en) 2018-09-28 2022-03-22 Sun Nuclear Corporation Systems and methods to account for tilt of a radiation measurement system
US11378700B2 (en) 2019-07-10 2022-07-05 Sun Nuclear Corporation Scintillator-based radiation therapy quality assurance
US11600004B2 (en) 2019-07-10 2023-03-07 Sun Nuclear Corporation Image-based radiation therapy quality assurance
EP4190400A1 (fr) * 2021-12-06 2023-06-07 Elekta Limited Appareil de radiothérapie
US12011616B2 (en) 2019-07-10 2024-06-18 Sun Nuclear Corporation Image-based radiation therapy quality assurance

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EP3801753A4 (fr) * 2018-05-25 2022-04-13 WIP Innovations Pty Ltd Perfectionnements apportés à des accélérateurs linéaires
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GB2585661B (en) 2019-07-09 2022-06-15 Elekta ltd Radiotherapy device
CN110841207A (zh) * 2019-12-18 2020-02-28 上海伽玛星科技发展有限公司 一种立体定向头部放疗设备
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Cited By (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10413754B2 (en) 2012-05-29 2019-09-17 Sun Nuclear Corporation Method and system for calorimetry probe
US10099067B2 (en) 2014-12-19 2018-10-16 Sun Nuclear Corporation Radiation therapy dose calculation
US10881880B2 (en) 2015-04-23 2021-01-05 Sun Nuclear Corporation Radiation detector calibration
US11420077B2 (en) 2015-04-23 2022-08-23 Sun Nuclear Corporation Radiation detector calibration
US10617891B2 (en) 2015-04-23 2020-04-14 Sun Nuclear Corporation Radiation detector calibration
US10596394B2 (en) 2016-07-28 2020-03-24 Sun Nuclear Corporation Beam angle direction determination
WO2018023049A1 (fr) * 2016-07-28 2018-02-01 Sun Nuclear Corporation Détermination de la direction de l'angle d'un faisceau
US10918888B2 (en) 2017-02-28 2021-02-16 Sun Nuclear Corporation Radiation therapy treatment verification with electronic portal imaging device transit images
US11794037B2 (en) 2017-02-28 2023-10-24 Sun Nuclear Corporation Radiation therapy treatment verification with electronic portal imaging device transit images
US11278744B2 (en) 2018-09-28 2022-03-22 Sun Nuclear Corporation Systems and methods to account for tilt of a radiation measurement system
US11378700B2 (en) 2019-07-10 2022-07-05 Sun Nuclear Corporation Scintillator-based radiation therapy quality assurance
US11600004B2 (en) 2019-07-10 2023-03-07 Sun Nuclear Corporation Image-based radiation therapy quality assurance
US12011616B2 (en) 2019-07-10 2024-06-18 Sun Nuclear Corporation Image-based radiation therapy quality assurance
EP4190400A1 (fr) * 2021-12-06 2023-06-07 Elekta Limited Appareil de radiothérapie

Also Published As

Publication number Publication date
US20150144811A1 (en) 2015-05-28
GB2519592B (en) 2020-01-29
GB201318983D0 (en) 2013-12-11
US10549125B2 (en) 2020-02-04
US9522286B2 (en) 2016-12-20
EP2865417B1 (fr) 2021-06-23
US10029123B2 (en) 2018-07-24
CN104548365B (zh) 2019-06-28
GB2519592A (en) 2015-04-29
CN104548365A (zh) 2015-04-29
US20170036042A1 (en) 2017-02-09
US20190001158A1 (en) 2019-01-03

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